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The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures a systematic literature review

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The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures a systematic literature review. / Thürig, Gregoire; Korthaus, Alexander; Frosch, Karl-Heinz; Krause, Matthias.

In: EUR J TRAUMA EMERG S, Vol. 49, No. 2, 04.2023, p. 661-679.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Thürig, G, Korthaus, A, Frosch, K-H & Krause, M 2023, 'The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures a systematic literature review', EUR J TRAUMA EMERG S, vol. 49, no. 2, pp. 661-679. https://doi.org/10.1007/s00068-022-02127-2

APA

Thürig, G., Korthaus, A., Frosch, K-H., & Krause, M. (2023). The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures a systematic literature review. EUR J TRAUMA EMERG S, 49(2), 661-679. https://doi.org/10.1007/s00068-022-02127-2

Vancouver

Thürig G, Korthaus A, Frosch K-H, Krause M. The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures a systematic literature review. EUR J TRAUMA EMERG S. 2023 Apr;49(2):661-679. https://doi.org/10.1007/s00068-022-02127-2

Bibtex

@article{99fc0786a24d4f019d77947ab1f45f90,
title = "The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures a systematic literature review",
abstract = "PURPOSE: The outcome of a tibial plateau fracture (TPF) depends on the fracture reduction achieved and the extent of soft-tissue lesions, including lesions in the ligaments, cartilage, and menisci. Sub-optimal treatment can result in poor knee function and osteoarthritis. Preoperative planning is primarily based on conventional X-ray and computed tomography (CT), which are unsuitable for diagnosing soft-tissue lesions. Magnetic resonance imaging (MRI) is not routinely performed. To date, no literature exists that clearly states the indications for preoperative MRI. This systematic review aimed to determine the frequency of soft-tissue lesions in TPFs, the association between fracture type and soft-tissue lesions, and the types of cases for which MRI is indicated.METHODS: A systematic review of the literature was based on articles located in PubMed/MEDLINE and the Cochrane Central Register of Controlled Trials (CENTRAL), supplemented by searching the included articles' reference lists and the ePublication lists of leading orthopedic and trauma journals.RESULTS: A total of 1138 studies were retrieved. Of these, 18 met the eligibility criteria and included a total of 877 patients. The proportion of total soft-tissue lesions was 93.0%. The proportions of soft-tissue lesions were as follows: medial collateral ligament 20.7%, lateral collateral ligament 22.9%, anterior cruciate ligament 36.8%, posterior cruciate ligament 14.8%, lateral meniscus 48.9%, and medial meniscus 24.5%. A weak association was found between increasing frequency of LCL and ACL lesions and an increase in fracture type according to Schatzker's classification. No standard algorithm for MRI scans of TPFs was found.CONCLUSION: At least one ligament or meniscal lesion is present in 93.0% of TPF cases. More studies with higher levels of evidence are needed to find out in which particular cases MRI adds value. However, MRI is recommended, at least in young patients and cases of high-energy trauma.",
author = "Gregoire Th{\"u}rig and Alexander Korthaus and Karl-Heinz Frosch and Matthias Krause",
note = "{\textcopyright} 2022. The Author(s).",
year = "2023",
month = apr,
doi = "10.1007/s00068-022-02127-2",
language = "English",
volume = "49",
pages = "661--679",
journal = "EUR J TRAUMA EMERG S",
issn = "1863-9933",
publisher = "Urban und Vogel",
number = "2",

}

RIS

TY - JOUR

T1 - The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures a systematic literature review

AU - Thürig, Gregoire

AU - Korthaus, Alexander

AU - Frosch, Karl-Heinz

AU - Krause, Matthias

N1 - © 2022. The Author(s).

PY - 2023/4

Y1 - 2023/4

N2 - PURPOSE: The outcome of a tibial plateau fracture (TPF) depends on the fracture reduction achieved and the extent of soft-tissue lesions, including lesions in the ligaments, cartilage, and menisci. Sub-optimal treatment can result in poor knee function and osteoarthritis. Preoperative planning is primarily based on conventional X-ray and computed tomography (CT), which are unsuitable for diagnosing soft-tissue lesions. Magnetic resonance imaging (MRI) is not routinely performed. To date, no literature exists that clearly states the indications for preoperative MRI. This systematic review aimed to determine the frequency of soft-tissue lesions in TPFs, the association between fracture type and soft-tissue lesions, and the types of cases for which MRI is indicated.METHODS: A systematic review of the literature was based on articles located in PubMed/MEDLINE and the Cochrane Central Register of Controlled Trials (CENTRAL), supplemented by searching the included articles' reference lists and the ePublication lists of leading orthopedic and trauma journals.RESULTS: A total of 1138 studies were retrieved. Of these, 18 met the eligibility criteria and included a total of 877 patients. The proportion of total soft-tissue lesions was 93.0%. The proportions of soft-tissue lesions were as follows: medial collateral ligament 20.7%, lateral collateral ligament 22.9%, anterior cruciate ligament 36.8%, posterior cruciate ligament 14.8%, lateral meniscus 48.9%, and medial meniscus 24.5%. A weak association was found between increasing frequency of LCL and ACL lesions and an increase in fracture type according to Schatzker's classification. No standard algorithm for MRI scans of TPFs was found.CONCLUSION: At least one ligament or meniscal lesion is present in 93.0% of TPF cases. More studies with higher levels of evidence are needed to find out in which particular cases MRI adds value. However, MRI is recommended, at least in young patients and cases of high-energy trauma.

AB - PURPOSE: The outcome of a tibial plateau fracture (TPF) depends on the fracture reduction achieved and the extent of soft-tissue lesions, including lesions in the ligaments, cartilage, and menisci. Sub-optimal treatment can result in poor knee function and osteoarthritis. Preoperative planning is primarily based on conventional X-ray and computed tomography (CT), which are unsuitable for diagnosing soft-tissue lesions. Magnetic resonance imaging (MRI) is not routinely performed. To date, no literature exists that clearly states the indications for preoperative MRI. This systematic review aimed to determine the frequency of soft-tissue lesions in TPFs, the association between fracture type and soft-tissue lesions, and the types of cases for which MRI is indicated.METHODS: A systematic review of the literature was based on articles located in PubMed/MEDLINE and the Cochrane Central Register of Controlled Trials (CENTRAL), supplemented by searching the included articles' reference lists and the ePublication lists of leading orthopedic and trauma journals.RESULTS: A total of 1138 studies were retrieved. Of these, 18 met the eligibility criteria and included a total of 877 patients. The proportion of total soft-tissue lesions was 93.0%. The proportions of soft-tissue lesions were as follows: medial collateral ligament 20.7%, lateral collateral ligament 22.9%, anterior cruciate ligament 36.8%, posterior cruciate ligament 14.8%, lateral meniscus 48.9%, and medial meniscus 24.5%. A weak association was found between increasing frequency of LCL and ACL lesions and an increase in fracture type according to Schatzker's classification. No standard algorithm for MRI scans of TPFs was found.CONCLUSION: At least one ligament or meniscal lesion is present in 93.0% of TPF cases. More studies with higher levels of evidence are needed to find out in which particular cases MRI adds value. However, MRI is recommended, at least in young patients and cases of high-energy trauma.

U2 - 10.1007/s00068-022-02127-2

DO - 10.1007/s00068-022-02127-2

M3 - SCORING: Review article

C2 - 36307588

VL - 49

SP - 661

EP - 679

JO - EUR J TRAUMA EMERG S

JF - EUR J TRAUMA EMERG S

SN - 1863-9933

IS - 2

ER -